RENEE RIDLEY
NPI 1801454426
Marriage & Family Therapist in Trabuco Canyon, CA

Q: What is Renee Ridley's NPI number?

The NPI number for Renee Ridley is 1801454426. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Renee Ridley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Ridley was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment

20331 FLANAGAN RD., TRABUCO CANYON, CA 92679(818) 582-8832 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2020, Jun 4, 2019, May 29, 2019 (3 updates tracked since 2019).

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About Renee Ridley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE RIDLEY (NPI 1801454426) is an individual marriage & family therapist in Trabuco Canyon, California, licensed in California (142510) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801454426

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameRENEE RIDLEY

Location Address20331 FLANAGAN RD.Trabuco Canyon, CA 92679

Mailing Address8140 Sunland Blvd Apt 13Sun Valley, CA 91352-3948 · (818) 582-8832

Phone(818) 582-8832

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 29, 2019

Last NPPES UpdateDecember 21, 20233 updates tracked since enumeration

NPPES CertifiedDecember 21, 2023

✔ NPI 1801454426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 142510

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

20331 FLANAGAN RD., Trabuco Canyon, CA 92679

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee Ridley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214479401

PECOS Enrollment IDI20240603003412

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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